Eason Court Group Home

LBN: Eason Court Group Home
Eason Court Group Home is an health care organization with primary practice located at 113 Eason Ct , Youngsville NC 27596-9228. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Eason Court Group Home can be contacted via phone (919) 556-4720, or through Carroll, Daphine Lloyd via phone (919) 556-4720.

Contact Information

Primary practice address
113 Eason Ct Youngsville NC 27596-9228
Phone: (919) 556-4720
Fax: (919) 556-3003
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Daphine Lloyd
Phone: (919) 556-4720

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-035-029 North Carolina

Profile Details

NPI number 1790861334
LBN Legal business name Eason Court Group Home
DBA Doing business as
Authorized official Carroll, Daphine Lloyd
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 29th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790861334 NPPES
North Carolina MEDICAID 3418180

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